27705 Cxtec/ Attn: Terry Crockett,
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
27705
THIS NUMBER MUST APPEAR ON INVOICES. NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
916/2012
3Com POE Power Supply
VENDOR
Cxtec
5404 South Bay Road
P.O. Box 4799
Syracuse, NY 13221-4799
SHIP
TO
City of Carmel
3 Civic Square
Carmel, IN 46032
(317) 571-2567
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE {
DESCRIPTION
UNIT PRICE
EXTENSION
Account 44-632.01
1 Each Freight
2 Each 3COM 5500G -EI 24 Port Switch Power
supply unit
Send Invoice To:
City of Carmel
(stir: Terry Crockett
3 Civic Square
Carmel, IN 46032-
3017264 -US
PLEASE INVOICE IN DUPLICATE
$25.97
$750.00
Sub Total:
$25.97
$1,500.00
$1,525.97
DEPARTMENT
ACCOUNT
PROJECT 1 PROJECT ACCOUNT
AMOUNT
(Carmel IS Dept/7
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPI.EMENT THERETO.
DOCUMENT CONTROL NO. 27705
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $1,525.97
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE I5 AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
-Ettrdathi canc.